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General NPI Number Information
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NPI Number | 1386624724
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Entity Type | Individual
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Provider Name | NING JING M.A., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 636 RAYMOND DR #203
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City | NAPERVILLE
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State | IL
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Zip | 60563-9789
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Country | US
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Telephone | 630-369-8878
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Fax | 630-369-4012
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Provider Business Mailing Address
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Address Line | 1224 SUNNYBROOK DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-4137
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Country | US
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Telephone | 630-428-4201
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | IL
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